HomeMy WebLinkAboutH2020-0044 - Permitsa City of Newport Beach - Building Division MECHANICAL Permit: H2O20-0044
a 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 0 4 4
Project No: 2994-2018
Permit Counter Phone (949)644-3288
TIMER REQUIRED ON EQUIPMENT
Inspection Requests Phone (949)644-3255
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
Job Address: 1235 SANTIAGO DR BIdg:1 Floor: Suite:
Description of Work: MECH/INSTALL (2) A/C UNITS 52dB* & 53dB* (TRANE; XR16-4TWL6042A1000A & XR16 R-410A;4TTL6060A100A) *TIMER REQUIRED ON EQUIPMENT TO
SHUT OFF BETWEEN 1013M & TAM
2994-2018
Inspector Area:3 Code Edit:
2016
Legal Description: N TR 3851 LOT 43
Owner: DESILVA CHRIS & JENNI
Contractor:
LEYVA ROBERT CONSTR CO
Address: 1235 SANTIAGO DR
Address:
953 UNION AVE
NEWPORT BEACH, CA 92660
COSTA MESA CA 92627
Phone:
Phone:
714-323-5820
Con State Lic:
825124
Issued Date:09/22/2020
Lic Expire:
09/30/2021
-
Bus Lic:
BT30039303
Processed By: _
Lic Exp Date:
06/30/2020
cc
Worker's Comp Insurance -
Carrier: NO EMPLOYEES
Policy No:
Expire
LI s
�J
e
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
..-
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $20.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
1 $36.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
$0.00
Wall/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
Heat Pumps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
Up to 100K BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
Additional Fee :
$0.00
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$48.72
Up to 1 M BTU/hr:
0
$0.00
up to 1 OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$35.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$41.50
TOTAL:
$181.22
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$181.22
PERMITS EXPIRE 180 DAYS AFTER I SSt:ANCj�.RJR Ly4ST VALID INSPECTION
Construction Hours: Monday- £6idayV:00 a m.to• 6:30 psn.aV Saturday from 8:00 a.m. to 6:00 p.m.
. .
•
e•. eo 00 • e o00 00
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s).
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to. construct,, alter, improve,. demolish, or repair any structure, prior to its issuance, also requires the applicant for
1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Irofessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500). _
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from Iicensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prs gode,and my license is in full force
nd effect. !/
icense Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erformance of the work for which this permit is issued. Policy No.
71 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
Isurance carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should become subject orke s�' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant X ����—''LL��� Dat �`��— -10 2 r
CLARATION REGenD G CONSTRUCAON LENDING AGENCY
:reby affirm under alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to eq abo-ilJentified property for inspection purposes.
ACDOfy
DATE
BY
DECLARATION OF COMPLIANCEMTN CODEOF
f FOR OFFICE USEONLY
FEDERAL REGULATIONS PART61 OF TITLE40AND
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PERMIT EXTENDED
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PROPOSED DEMOLITION.
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